|
| |
|
1480 Fowler St Richland WA 99352-4717 | |
| (509) 783-7416 | |
| (509) 735-7850 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1480 Fowler St, Richland, Washington |
| Authorized Official Name and Position | Gary Castillo (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5097837416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1480 Fowler St Richland WA 99352-4717 Ph: (509) 783-7416 | 1480 Fowler St Richland WA 99352-4717 Ph: (509) 783-7416 |
| NPI Number | 1144600313 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144600313 | NPI | - | NPPES |
| 3990124 | Medicaid | WA |
Child Enrichment Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Keene Rd Bldg L, Richland, WA 99352 Phone: 858-521-8173 | |
Isumataq Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 George Washington Way, Suite 5, Richland, WA 99352 Phone: 509-947-6270 Fax: 509-946-2011 | |
J & J Dean-hill, Msw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Keene Rd, Bldg. H, Richland, WA 99352 Phone: 509-366-8318 Fax: 509-735-4971 | |
Sagebrush Employment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 French St, Richland, WA 99352 Phone: 253-722-9524 |